Grant: Project Grant

The goal of colonoscopy as a screening exam for colorectal cancer prevention is to detect and remove polyps which may eventually become cancer. Many polyps are missed during colonoscopy and this may explain why some patients devellop colorectal cancer despite having undergone a recent colonoscopy. In this study, we aim to evaluate the performance of the GI genius artificial intelligence (AI) system that automatically detects polyps during colonoscopy. We will compare this tool to standard colonoscopy without assistance of AI in a cohort of patients at risk of having neoplastic polyps. A randomized controlled trial will be performed in which we evaluate the effect of installing an artificial intelligence system (GI Genius; Medtronic) in an endoscopy unit. We will compare the rate of neoplastic polyp detection in both groups and assume that the group with AI assisted colonoscopy will have a higher rate of neoplastic polyp detection. Improving the rate of neoplastic polyp detection will have direct effects on reducing the risk of colorectal cancer in patients.